Individual
DR. BARRY ALLEM MENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19925 E 10 MILE RD, ST CLAIR SHORES, MI 48080-1069
(586) 772-1880
Mailing address
19925 E 10 MILE RD, ST CLAIR SHORES, MI 48080-1069
(586) 772-1880
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
100005
MI
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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